Active NPI
Lorrie D Davis, C.R.N.P.
- Acute Care Nurse Practitioner
- Elkmont, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-084097
- Practice address
- 25442 Ala Hwy 127
Elkmont, AL 35620 - Phone
- (256) 732-3712
- Fax
- (256) 732-3714
- NPI assigned
- Jun 13, 2007
- Last updated
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-084097 | AL | Primary |
Addresses
Primary practice location
25442 Ala Hwy 127
Elkmont, AL 35620
Mailing address
PO Box 449
Elkmont, AL 35620-0449
Phone (256) 732-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891010160 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9889
11202 County Line Rd
Suite a
Madison, AL 35758-4866
Phone (256) 278-3080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Madison Urgent & Primary Care, LLC | Single Specialty | Current | Accepting new patients |
| Emergency Physicians Group | Single Specialty | Current | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
11202 County Line Rd
Ste A
Madison, AL 35756
Phone (256) 278-3080
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
Interoperability endpoints
- https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4
- lorrie.davis.1@25760.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1659366649
Single Specialty
-
- Urgent Care Clinic/Center
- Madison, AL
- NPI 1558006767
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1659575785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "ELKMONT",
"state": "AL",
"postal_code": "356200449",
"telephone_number": "256-732-3712",
"fax_number": "256-732-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25442 ALA HWY 127",
"city": "ELKMONT",
"state": "AL",
"postal_code": "35620",
"telephone_number": "256-732-3712",
"fax_number": "256-732-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LORRIE",
"middle_name": "D",
"credential": "C.R.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-084097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891010160",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkmont, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.